The recommended starting dose for the treatment of bedwetting in children is Tofranil 25 mg, taken one hour before bedtime. If the medication does not work within one week, your healthcare provider may recommend increasing the dose up to Tofranil 50 mg (for children under 12) or Tofranil 75 mg (for children over 12). For children who have problems with early nighttime bedwetting, your healthcare provider may recommend taking Tofranil in the mid-afternoon and at bedtime. When stopping the medication, the dose should be reduced gradually, as this may help prevent a relapse of bedwetting.
It is important that your child's dose of Tofranil not be more than 1.1 mg per pound per day, as higher doses may put your child at increased risk for an irregular heart rhythm (arrhythmia).
If your child misses a dose of Tofranil, skip the missed dose. Do not try to make up for a bedtime dose by giving it during the day.
Considerations for people taking Tofranil include the following:
- Tofranil should be taken at the same time(s) each day to maintain an even level in your system.
- Your Tofranil dosage can be taken with or without food. If the medication upsets your stomach, try taking it with food.
- If you are experiencing bothersome drowsiness or dizziness with Tofranil, ask your healthcare provider about taking your dose at bedtime (instead of during the day). This may help decrease these side effects.
- It often takes several weeks to see the full beneficial effects of Tofranil. Try to give the medication a chance to work before becoming discouraged.
- For Tofranil to work properly, you have to take it as prescribed. The medicine will not work if you take it differently from how your healthcare provider recommends.
- If you are unsure about anything related to Tofranil or your Tofranil dosage, talk to your doctor, nurse, or pharmacist. Do not stop taking Tofranil without first discussing it with your healthcare provider. Stopping the medicine abruptly may increase the risk for symptoms of withdrawal (see Imipramine Withdrawal).